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Individual
RICHARD WYATT
Active
Individual
RICHARD WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CSOTP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701014655
VA
101YM0800X
Mental Health Counselor
Primary
0701014655
VA
101YP2500X
Professional Counselor
0701014655
VA
Other
Enumeration date
05/01/2025
Last updated
09/11/2025
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